2023 clinical practice guidelines on autism spectrum disorder in children and adolescents in Singapore.

Autor:	Wong CM; Department of Child Development, KK Women's and Children's Hospital, Singapore.; Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.; Duke-NUS Medical School, Singapore.; Lee Kong Chian School of Medicine, Singapore., Aljunied M; Special Educational Needs Division, Ministry of Education, Singapore., Chan DKL; Department of Child Development, KK Women's and Children's Hospital, Singapore.; Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.; Duke-NUS Medical School, Singapore.; Lee Kong Chian School of Medicine, Singapore.; Department of Neonatal and Developmental Medicine, Singapore General Hospital., Cheong JMY; Department of Psychological Medicine, KK Women's and Children's Hospital, Singapore., Chew B; St Andrew's Autism Centre, Singapore., Chin CH; Department of Developmental Psychiatry, Institute of Mental Health, Singapore., Choo SHT; Department of Child Development, KK Women's and Children's Hospital, Singapore.; Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.; Duke-NUS Medical School, Singapore.; Lee Kong Chian School of Medicine, Singapore., Chua AHL; National Healthcare Group Polyclinics, Singapore., Foo MTS; Department of Developmental Psychiatry, Institute of Mental Health, Singapore., Goh TJ; Department of Developmental Psychiatry, Institute of Mental Health, Singapore., Khader M; Ministry of Home Affairs Singapore., Khoo SKM; Autism Resource Centre (Singapore)., Koh HC; Department of Child Development, KK Women's and Children's Hospital, Singapore., Lian WB; SpecialKids Child Health & Development Clinic, Singapore., Lim HH; CaringSG, Singapore., Poon KK; National Institute of Education, Nanyang Technological University, Singapore., Sim ZL; Autism Resource Centre (Singapore)., Sung M; Department of Developmental Psychiatry, Institute of Mental Health, Singapore., Tan PC; National Institute of Education, Nanyang Technological University, Singapore., Yong S; Specialised Assistive Technology Centre, SPD, Singapore., Zhang G; Child Development Unit, Khoo Teck Puat-National University Children's Medical Institute, National University Hospital, Singapore., Aishworiya R; Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.; Child Development Unit, Khoo Teck Puat-National University Children's Medical Institute, National University Hospital, Singapore.
Jazyk:	angličtina
Zdroj:	Annals of the Academy of Medicine, Singapore [Ann Acad Med Singap] 2024 Apr 29; Vol. 53 (4), pp. 541-552. Date of Electronic Publication: 2024 Apr 29.
DOI:	10.47102/annals-acadmedsg.2023307
Abstrakt:	Introduction: Autism is a neurodevelopmental condition that is increasing in prevalence worldwide. There has been an exponential increase in autism-related research since 2010, when the first Singapore Clinical Practice Guidelines (CPG) on autism was published. Understanding of autism has since evolved to adopt a lifespan approach beyond that of a childhood condition. The aim of this CPG was to provide an updated set of recommendations for children and adolescents to aid clinical practice for professionals. Method: A multidisciplinary workgroup that comprised representatives from various sectors worked on this CPG. Clinical questions were organised into 10 different sections, each with its own subgroup of members. Seventeen existing international guidelines were evaluated using the Appraisal of Guidelines for REsearch & Evaluation II (AGREE-II) framework, of which 4 met criteria to act as references. Literature review across multiple databases was conducted between January 2011 to 2023; Grading of Recommendations, Assessment, Development and Evaluation (GRADE-like) methodology was used to synthesise evidence. Recommendation statements were derived, following Delphi-style consensus surveys among the workgroup. The draft guidelines underwent external review and public consultation before being formalised. Results: Recommendation and good practice statements pertaining to care of children and adolescents on the autism spectrum across 10 different sections were developed. Evidence matrices complement these recommendations and detail relevant evidence behind each recommendation statement. Conclusion: It is intended for these guidelines to promote effective management and healthcare services for children and adolescents on the autism spectrum, by reinforcing good and evidence-based clinical practice within our national context. Competing Interests: All authors declare that they have no affiliations or financial involvement with any commercial organisation with a direct financial interest in the subject or materials discussed in the manuscript.
Databáze:	MEDLINE
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